CAMILLIA CLARK

IDAHO FALLS, ID
NPI1528840584
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  COUI-9541)
Enumeration Date2023-10-16
Last Update Date2023-10-16
Business Address
CAMILLIA CLARK COUI-9541
452 D ST
IDAHO FALLS, ID 83402-3531
Phone number: 208-552-0355
Mailing Address
CAMILLIA CLARK COUI-9541
452 D ST
IDAHO FALLS, ID 83402-3531
Phone number: 208-552-0355
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